Week 2 - Anatomy of sexual functioning in Women

Question 1

Conditions for a healthy sexual development

Answer 1

• Matching genderidentity
• Warm pedagogical climate
• Positive examples of relational behaviour
• Positive messages concerning
  sexuality and the own body
• Possibility to age-specific consensual sexual practice behavior
• Skin contact

Question 2

Secondary sexual characteristics

Answer 2

1. Breast development
2. Hair in the pubic area and under the armpits
3. Maturation of the eggs
4. Menstruation

Question 3

Sexual differentiation

Answer 3

Gender at birth
* Appearance of external genitals

Gender identity
* Multifactorial

Question 4

Function of breasts

Answer 4

Erotic function
Reproductive function

Question 5

Genital arousal

Answer 5

1. Increase in genital bloodflow
2. Swelling of vulva and clitoris
3. Erection and retraction of the glans clitoris
4. Elongation of vagina & ballooning
5. Transsudate: lubrication
6. Rise of uterus

Question 6

Physiology of sexuality

Answer 6

Brain processes

Peripheral responses:
* Cardiovascular: heart beath higher
* Respirory tract: frequency
* Skin: sex bloss
* Stiffness of nipples

Question 7

Physiology of sexuality: orgasm

Answer 7

Individual experience:
1. An intese feeling of pleasure
2. Some degree of altered consciousness
3. Specific sensations in the genital region and pelvis
4. Muscle contraction in PF and uterus
5. Other reactions: rhytmic movement, vocalization etc.

Question 8

Congenital abnormal external genitals: hymen

Answer 8

Intercourse not possible = primary vaginismus

Question 9

Acquiered abnormal anatomy

Answer 9

1. Ovarian cyst
2. Myoma / fibroid
3. Vulvar carcinoma

Question 10

Statistics female genital mutilation

Answer 10

1. > 200 million girls/ women
2. Performed on the age of 4-12 years
3. 30 countries in Africa, the Middle East and Asia
4. A mix of sociocultural factors within families and communities
5. No relation with religion and non-medical
6. Connected with views on cleanliness, beauty, femininity and sexual mortality

Question 11

Types of FGM

Answer 11

1. Clitoridectomy
2. Excision
3. Infabulation

Question 12

Turner syndroom

Answer 12

Variation of chromosomol patterns

1. Small fingernails
2. Fold of skin
3. Constriction of aorta
4. Poor breast development
5. No menstruation

Question 12

MRKH syndrome

Answer 12

Mayer-Rokitansmy Kuster Hauser Syndrome
* 46XX
* No menstruation
* Infertile
* Intercourse not possible
* 16 women/yr NL

Question 13

Androgen Insensitivity Syndrome (XY)

Answer 13

46 XY / Male Gonads / Male hormone profile

1. No armpit or pubic hair
2. External genitals: female
3. Vaginal and uterus agenesis
4. No menstruation
5. Infertile